Individual ProviderOctavian BrebeneHospitalistAllopathic & Osteopathic PhysiciansPractice Address800 Prudential Dr, Jacksonville, FL 32207-8202(904) 202-2000(917) 698-6999PECOS EnrollmentBased on the most recent information from CMS, provider Octavian Brebene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1487860599Provider TypeIndividualFull NameBrebene, OctavianCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/15/2007Last Updated6/13/2024Contact InformationPractice LocationPractice Address800 Prudential Dr, Jacksonville, FL 32207-8202Phone(904) 202-2000FaxUnlisted FaxMailing LocationMailing Address1478 Riverplace Blvd, Apt.904, Jacksonville, FL 32207Phone(917) 698-6999FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseME98542FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME98542Florida